This instrument is intended to facilitate intra-corporeal laparoscopic tying of knots. The shafts of two small diameter laparoscopic graspers are combined within a common external sheath, and both are joined to a common handle, to be used by one hand. One grasper has no handle, but is able to rotate, and acts as a donor grasper, whilst the other has a regular scissors type of handle, is stationary, and acts as a recipient grasper. The instrument enables the head end of a suture to be passed from a donor grasper to an adjacent recipient grasper, passing behind and around its tail strand, forming the knot, in the same manner as the tying of shoe-laces.
